Mark Christopher Link, M.D.
Individual provider Active NPI General Practice Physician · Jefferson City, MO
NPI 1679514293 · NPPES record last updated Feb 10, 2015
Key facts
- NPI
- 1679514293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 113486 (MO)
- Practice address
- 1002 Diamond RDG
Suite 200
Jefferson City, MO 65109-6896 - Phone
- (573) 632-5585
- Fax
- (573) 634-2978
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curators of the University of Missouri | Past | Accepting new patients | |
| Capital Region Medical Center | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCCFBD/Endpoint/CCCFBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 113486 | MO | Yes |
Addresses
Primary practice location
1002 Diamond RDG
Suite 200
Jefferson City, MO 65109-6896
Mailing address
999 Diamond RDG
Suite 201
Jefferson City, MO 65109-6920
Phone (573) 632-5585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00322454 | Other | MO | RAILROAD MEDICARE |
| 209709518 | Medicaid | MO |
Other providers in Jefferson City, MO
- James C Lin
- Lincare Inc.
- Mollie Karleen Lindquist
- Brian Edward Link
- Julianna Christine Link
- Michael Link
- Louis David Linsenbardt
- Steve T. Linsenbardt
- Susan Michelle Lipasek
- Lindsey Lippmann
All providers in Jefferson City, MO · General Practice Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.